Organization Active NPI

Happy Harbor Methodist Home, Inc.

  • Skilled Nursing Facility
  • La Porte, TX
National Provider Identifier
1386644201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
109624 Issued in TX
Legal business name
HAPPY HARBOR METHODIST HOME, INC.
Practice address
1106 Bayshore Dr
La Porte, TX 77571-5868
Phone
(281) 471-1210
Fax
(281) 867-9065
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard M Berman
Title
Chief Financial Officer
Phone
(281) 363-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 109624 TX Primary

Addresses

Primary practice location

1106 Bayshore Dr
La Porte, TX 77571-5868

Mailing address

1106 Bayshore Dr
La Porte, TX 77571-5868
Phone (281) 471-1210

Other names 1

  • Happy Harbor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386644201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 BAYSHORE DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775715868",
            "telephone_number": "281-471-1210",
            "fax_number": "281-867-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 BAYSHORE DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775715868",
            "telephone_number": "281-471-1210",
            "fax_number": "281-867-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY HARBOR METHODIST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "281-363-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Harbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.